000118225 001__ 118225
000118225 005__ 20230712100017.0
000118225 0247_ $$2doi$$a10.1016/j.bjane.2021.05.008
000118225 0248_ $$2sideral$$a129343
000118225 037__ $$aART-2021-129343
000118225 041__ $$aeng
000118225 100__ $$aRipollés-Melchor, Javier
000118225 245__ $$aEarly mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study
000118225 260__ $$c2021
000118225 5060_ $$aAccess copy available to the general public$$fUnrestricted
000118225 5203_ $$aBackground: Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization.
Methods: This was a predefined substudy of the POWER.2 study, a prospective cohort study conducted in patients undergoing THA and TKA at 131 Spanish hospitals. The primary outcome was the time until mobilization after surgery as well as determining those perioperative factors associated with early mobilization after surgery.
Results: A total of 6093 patients were included. The median time to achieve mobilization after the end of the surgery was 24 hours [16–30]. 4,222 (69.3%) patients moved in ≤ 24 hours after surgery. Local anesthesia [OR = 0.80 (95% confidence interval [CI]: 0.72–0.90); p = 0.001], surgery performed in a self-declared ERAS center [OR = 0.57 (95% CI: 0.55–0.60); p < 0.001], mean adherence to ERAS items [OR = 0.93 (95% CI: 0.92–0.93); p < 0.001], and preoperative hemoglobin [OR = 0.97 (95% CI: 0.96–0.98); p < 0.001] were associated with shorter time to mobilization.
Conclusions: Most THA and TKA patients mobilize in the first postoperative day, early time to mobilization was associated with the compliance with ERAS protocols, preoperative hemoglobin, and local anesthesia, and with the absence of a urinary catheter, surgical drains, epidural analgesia, and postoperative complications. The perioperative elements that are associated with early mobilization are mostly modifiable, so there is room for improvement.
000118225 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000118225 590__ $$a0.0$$b2021
000118225 591__ $$aANESTHESIOLOGY
000118225 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000118225 700__ $$aAldecoa, César
000118225 700__ $$aFernández-García, Raquel
000118225 700__ $$aVarela-Durán, Marina
000118225 700__ $$aAracil-Escoda, Norma
000118225 700__ $$aGarcía-Rodríguez, Daniel
000118225 700__ $$aCabezudo-de-la-Muela, Lucia
000118225 700__ $$aHormaechea-Bolado, Lucía
000118225 700__ $$aNacarino-Alcorta, Beatriz
000118225 700__ $$aHoffmann, Rolf
000118225 700__ $$aLorente, Juan V.
000118225 700__ $$0(orcid)0000-0001-7964-1166$$aRamírez-Rodríguez, José M.$$uUniversidad de Zaragoza
000118225 700__ $$aAbad-Motos, Ane
000118225 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000118225 773__ $$g73, 1 (2021), 54-71$$tBrazilian journal of anesthesiology (Elsevier)$$x0104-0014
000118225 8564_ $$s1258983$$uhttps://zaguan.unizar.es/record/118225/files/texto_completo.pdf$$yVersión publicada
000118225 8564_ $$s2464591$$uhttps://zaguan.unizar.es/record/118225/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000118225 909CO $$ooai:zaguan.unizar.es:118225$$particulos$$pdriver
000118225 951__ $$a2023-07-12-09:33:47
000118225 980__ $$aARTICLE